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Article Type

Article

Abstract

Back ground and objectives: Septoplasty is conservative approach to nasal septal surgery. In this operation much of the septal framework is retained. Only the most deviated parts are removed, rest of septal framework is corrected and repositioned by plastic means. There is a wide concept that this surgery is usually done after the age of 18 years so as not to interfere with nasal skeleton growth, however if the a child has sever deviation causing marked nasal obstruction, septoplasty can be performed to provide a good airway.

This study was conducted prospectively to confirm whether this procedure can be done safely before age of 18 years and to postulate the different factors which may affect the outcomes of this surgery at particular this age group.

Patients and Methods: Seventy-five patients aged 6-65 years of different types of DNS, namely c-shaped, s-shaped, anterior caudal dislocation, and nasal spur with and without external deformities of the nose, presented with variable pictures of clinical presentation of DNS at ENT department – Althowra central hospital and Altarahom private center – Albyda city – Libya at period in between September 2005 to January 2013 who operated by septoplasty as closed technique. The patients were divided into two groups, group-A which was including twenty-five patients of age 6-17 years, and remaining fifty patients of ages 18-65 were classified as group-B. The outcomes of the surgery were studied and compared between the two groups in relation to different demographic, anatomical, pathological as well as surgical factors. The patients postoperatively were followed up for 3-6 months and assessed for outcomes of the surgery which are flap hematoma , flap abscess, flopping of flap, septal perforation, synaechia, degree of improvement, recurrence, atrophic rhinitis, and external nasal deformities.

Results: 87% of young patients who underwent the septoplasty procedure got improvement of their representing symptoms, they followed from 3-6 months and no post-septoplasty complication discovered among them. On the other hand the other remaining 13% presented with recurrence as post- operative complication. All these results where correlated with multi-factorial presentations and compared with those of older ages.

Conclusion: Generally speaking, the outcomes of septoplasty at age before 18years are not significantly varying from those at older ages. Thus this procedure can be performed safely at younger ages.

Keywords: Septoplasty in children, deviated nasal septum in children, septorhinoplasty, postseptoplasty complications in children.

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